NSG 6020 WEEK FOUR CERTIFICATION
EVALUATION 2026 QUESTIONS WITH
SOLUTIONS GRADED A+
⩥ You are beginning the examination of the skin on a 25-year-old
teacher. You have previously elicited that she came to the office for
evaluation of fatigue, weight gain, and hair loss. You strongly suspect
that she has hypothyroidism. What is the expected moisture and texture
of the skin of the patient with hypothyroidism. Answer: dry and rough
⩥ You are assessing a patient with joint pain and are trying to decide
whether it is inflammatory or noninflammatory in nature. Which one of
the following symptoms is consistent with an inflammatory process?.
Answer: tenderness
⩥ A 68-year-old retired farmer comes to your office for evaluation of a
skin lesion. On the right temporal area of the forehead, you see a
flattened papule the same color as his skin, covered by a dry scale that is
round and feels hard. He has several more of these scattered on the
forehead, arms and legs. Based on this description, what is your most
likely diagnosis?. Answer: actinic keratosis
⩥ A 28-year-old graduate student comes to your clinic for evaluation of
pain "all over." With further questioning, she is able to relate that the
pain is worse in the neck, shoulders, hands, low back and knees. She
denies swelling in her joints. She states that the pain is worse in the
,morning. There is no limitation in her range of motion. On physical
examination, she has several points on the muscles of the neck,
shoulders and back that are tender to palpation. Muscle strength and
range of motion are normal. Which one of the following is likely the
cause of her pain?. Answer: fibromyalgia
⩥ A new patient is complaining of severe pruritus that is worse at night.
Several family members also have the same symptoms. Upon
examination, areas of excoriated papules are noted on some of the
interdigital webs of both hands and on the axillae. This finding is most
consistent with:. Answer: Scabies
⩥ An obese 55-year-old woman went through menarche at age 16 and
menopause 2 years ago. She is concerned because an aunt had severe
osteoporosis. Which one of the following is a risk factor for
osteoporosis?. Answer: Delayed menarche
⩥ Ms. Whiting is a 68-year-old female who comes in for her usual
follow-up visit. You notice a few flat red and purple lesions, about 6
centimeters in diameter, on the ulnar aspect of her forearms but nowhere
else. She doesn't mention them. They are tender when you examine
them. What should you do?. Answer: Ask how she acquired them.
⩥ A 58-year-old man comes to your office complaining of bilateral back
pain that now awakens him at night. This has been steadily increasing
for the past 2 months. Which one of the following is the most reassuring
in this patient with back pain?. Answer: Pain that is bilateral
, ⩥ The Phalen's test is used to evaluate:. Answer: inflammation of the
median nerve
⩥ Which of the following would lead you to suspect a hydrocele versus
other causes of scrotal swelling?. Answer: A positive transillumination
test
⩥ You are examining a newborn and note that the right testicle is not in
the scrotum. What should you do next?. Answer: Attempt to bring down
the testis from the inguinal canal
⩥ A 50-year-old truck driver comes to your clinic for a work physical.
He has had no upper respiratory, cardiac, pulmonary, gastrointestinal,
urinary, or musculoskeletal system complaints. His past medical history
is significant for mild arthritis and prior knee surgery in college. He is
married and just changed jobs, working for a different trucking
company. He smokes one pack of cigarettes a day, drinks less than six
beers a week, and denies using any illegal drugs. His mother has high
blood pressure and arthritis and his father died of lung cancer in his
sixties. On examination, his blood pressure is 130/80 and his pulse is 80.
His cardiac, lung, and abdominal examinations are normal. He has no
inguinal hernia, but on his digital rectal examination you palpate a soft,
smooth, and nontender pedunculated mass on the posterior wall of the
rectum. What anal, rectal, or prostate disorder best fits his presentation?.
Answer: Rectal polyp
EVALUATION 2026 QUESTIONS WITH
SOLUTIONS GRADED A+
⩥ You are beginning the examination of the skin on a 25-year-old
teacher. You have previously elicited that she came to the office for
evaluation of fatigue, weight gain, and hair loss. You strongly suspect
that she has hypothyroidism. What is the expected moisture and texture
of the skin of the patient with hypothyroidism. Answer: dry and rough
⩥ You are assessing a patient with joint pain and are trying to decide
whether it is inflammatory or noninflammatory in nature. Which one of
the following symptoms is consistent with an inflammatory process?.
Answer: tenderness
⩥ A 68-year-old retired farmer comes to your office for evaluation of a
skin lesion. On the right temporal area of the forehead, you see a
flattened papule the same color as his skin, covered by a dry scale that is
round and feels hard. He has several more of these scattered on the
forehead, arms and legs. Based on this description, what is your most
likely diagnosis?. Answer: actinic keratosis
⩥ A 28-year-old graduate student comes to your clinic for evaluation of
pain "all over." With further questioning, she is able to relate that the
pain is worse in the neck, shoulders, hands, low back and knees. She
denies swelling in her joints. She states that the pain is worse in the
,morning. There is no limitation in her range of motion. On physical
examination, she has several points on the muscles of the neck,
shoulders and back that are tender to palpation. Muscle strength and
range of motion are normal. Which one of the following is likely the
cause of her pain?. Answer: fibromyalgia
⩥ A new patient is complaining of severe pruritus that is worse at night.
Several family members also have the same symptoms. Upon
examination, areas of excoriated papules are noted on some of the
interdigital webs of both hands and on the axillae. This finding is most
consistent with:. Answer: Scabies
⩥ An obese 55-year-old woman went through menarche at age 16 and
menopause 2 years ago. She is concerned because an aunt had severe
osteoporosis. Which one of the following is a risk factor for
osteoporosis?. Answer: Delayed menarche
⩥ Ms. Whiting is a 68-year-old female who comes in for her usual
follow-up visit. You notice a few flat red and purple lesions, about 6
centimeters in diameter, on the ulnar aspect of her forearms but nowhere
else. She doesn't mention them. They are tender when you examine
them. What should you do?. Answer: Ask how she acquired them.
⩥ A 58-year-old man comes to your office complaining of bilateral back
pain that now awakens him at night. This has been steadily increasing
for the past 2 months. Which one of the following is the most reassuring
in this patient with back pain?. Answer: Pain that is bilateral
, ⩥ The Phalen's test is used to evaluate:. Answer: inflammation of the
median nerve
⩥ Which of the following would lead you to suspect a hydrocele versus
other causes of scrotal swelling?. Answer: A positive transillumination
test
⩥ You are examining a newborn and note that the right testicle is not in
the scrotum. What should you do next?. Answer: Attempt to bring down
the testis from the inguinal canal
⩥ A 50-year-old truck driver comes to your clinic for a work physical.
He has had no upper respiratory, cardiac, pulmonary, gastrointestinal,
urinary, or musculoskeletal system complaints. His past medical history
is significant for mild arthritis and prior knee surgery in college. He is
married and just changed jobs, working for a different trucking
company. He smokes one pack of cigarettes a day, drinks less than six
beers a week, and denies using any illegal drugs. His mother has high
blood pressure and arthritis and his father died of lung cancer in his
sixties. On examination, his blood pressure is 130/80 and his pulse is 80.
His cardiac, lung, and abdominal examinations are normal. He has no
inguinal hernia, but on his digital rectal examination you palpate a soft,
smooth, and nontender pedunculated mass on the posterior wall of the
rectum. What anal, rectal, or prostate disorder best fits his presentation?.
Answer: Rectal polyp
